person
Dr. Russell Pendleton, DPM
Foot & Ankle Surgery Podiatrist in Lake Worth, Texas
NPI 1932356789

Russell Pendleton is a Foot & Ankle Surgery Podiatrist based in Lake Worth, TX and is specialized in Foot & Ankle Surgery. Russell Pendleton practices in Lake Worth, TX and has the professional credentials of DPM. The NPI Number for Russell Pendleton is 1932356789 and holds a License No. 1916 (Texas).

The current practice location address for Russell Pendleton is 6312 Azle Ave, Lake Worth, TX and can be reached out via phone at 817-238-8400 and via fax at 817-238-8401.

Location: 6312 Azle Ave, Lake Worth, TX, 76135-2442
person
Provider Profile Details
NPI Number
1932356789
Provider Name
Russell Pendleton
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
6312 Azle Ave, Lake Worth, TX, 76135-2442
Phone Number
817-238-8400
Fax Number
817-238-8401
Provider Enumeration Date
08/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
214330702 05 TX
214330704 05 TX
institution
Provider Business Practice Location Address Details
Address
6312 Azle Ave
City
State
Zip
76135-2442
Phone Number
817-238-8400
Fax Number
817-238-8401
person
Provider Business Mailing Address Details
Address
6312 Azle Ave
City
State
Zip
76135-2442
Phone Number
817-238-8400
Fax Number
817-238-8401
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
1916 (Texas)
Definition
Definition to come...
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